Thu
Feb 16 2006
01:08 am

On Tuesday, the Massachusetts pharmacy board ordered Wal-Mart to stock emergency contraception pills at all its stores in Massachusetts.  Massachusetts is the second state to require the world's largest retailer to carry the morning after pill.

The unanimous decision by the pharmacy board came two weeks after three women, backed by abortion rights groups, sued Wal-Mart for failing to carry the drug in any of its 44 Wal-Marts and four Sam's Club stores in Massachusetts.  The women had argued that state policy required pharmacies to carry all "commonly prescribed medicines."

For those of you who may not be familiar with the morning-after pill, it provides a high dose of hormones that, if taken up to five days after sex, can prevent pregnancy.  Many right-to-lifers believe that this emergency contraception is a form of abortion since it blocks the fertilized egg from being implanted on the uterine wall. 

I'm interested in knowing what you think.  Is the morning-after pill a means of abortion, or should it be viewed as simply another form of birth control? 

If you're interested in reading more about the Wal-Mart story, click here.

SayUncle's picture

Massachusetts: Live free or

Massachusetts: Live free or there.

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SayUncle
Can't we all just get a long gun?

Conservative Guy's picture

Massachusetts

Massachusetts:  Socialist Republic of the United States
Rachel's picture

Massachusetts: Socialist

Massachusetts: Socialist Republic of the United States

Now there's a thoughtful comment.

Andy Axel's picture

Now there's a thoughtful

Now there's a thoughtful comment.

Especially with that "end overpopulation" avatar.

____________________________

If we heard mortar shells, we'd cuss more in our songs and cut down on guitar solos

SayUncle's picture

The current governor is a

The current governor is a Republican.

So, you admit the democrats are socialists? Giggiddy ;)

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SayUncle
Can't we all just get a long gun?

Johnny Ringo's picture

A more important question, I think...

A more important question might be: what business is it of MA to tell Walmart or any other pharmacy what drug they will or will not stock? If Walmart decides not to stock the morning after pill, and other pharmacies DO stock it, well, then Walmart loses that business.

But when you accept that governments have the authority to tell private pharmacies that they MUST stock certain drugs, then you must accept the corollary proposition: the government can also force pharmacies NOT to stock certain (otherwise legal and approved) drugs. So while today's Massachusetts government tells Walmart it must stock certain contraceptives, tomorrow's government may take the position that Walmart and every other pharmacy in MA may NOT stock such contraceptives.

Some doors are best left unopened. Wouldn't it be better in the long run to say that what products a private retailer sells are purely within that retailer's discretion, and let the market punish those retailers that, for whatever reason, refuse to stock desired commodities?

SayUncle's picture

I concur. Or they could

I concur. Or they could also force every retailer to have a pharmacy. Etc., etc.

It's bad, bad stuff.

---
SayUncle
Can't we all just get a long gun?

R. Neal's picture

I think if you are going to

I think if you are going to be in the pharmacy business you should make available any legal/approved pharmaceutical that a physician has prescribed for a patient/customer.

For example, I had a minor side effect from a commonly used drug my doctor prescribed. He prescirbed a different, less commonly used substitute.

The pharmacy didn't have it in stock. But they said we'll get it for you and have it here in the morning. They didn't say, sorry, we don't stock that so we can't/won't provide it for you.

Now, you might say so what if they say they can't/won't provide it for you, just go somewhere else. That's fine where I live. There are plenty of other pharmacies. But what if I lived in some rural town, where Wal*Mart or somebody came in and opened a pharmacy and ran all the independents out of business leaving only Wal*Mart or whoever. Then what am I supposed to do?

But that's just the practical argument. The moral/political argument is that Wal*Mart and others may be trying to adopt a policy of "not stocking" something "controversial" to appease a certain customer/market segment/demograpic/advocacy group, and/or to avoid putting their pharmacists in a position of refusing to provide it on "moral grounds".

And if that's the case, see my first point.

Johnny Ringo's picture

I understand the argument,

I understand the argument, and there certainly are practical reasons for the Massachusetts policy, but you have failed to address my point: if the Mass. legislature one day is dominated by the same customer/shareholder/market segment/demographic/advocacy group that Walmart supposedly is now trying to appease, then that group will have the tools at its disposal to prohibit Walmart and any other pharmacy in the state from carrying the drugs the current government is requiring Walmart to carry. If you are prepared to accept that possibility, then by all means, regulate away.

R. Neal's picture

JR, for good or ill, that's

JR, for good or ill, that's how democracy works in a democratic republic.

(And back to my first point to more directly address your argument, if you don't want to be in the pharmacy business, with all that it entails, don't go into the pharmacy business. Nobody held a gun to their head and said get into the pharmmacy business.)

P.S. As far as regulatory intrusion, I think almost everyone would agree that the pharmacy business is one that should be regulated, and that regulating it is a perfectly appropriate and rational function of government.

MJ's picture

What's real funny about this...

...is that why is a company that has questionable hiring practices, has a proven history of low wages and questionable health care options for it's employees, has forced American jobs oversees to China and elsewhere because manufacturers couldn't meet their demands for low pricing and overall has shown little morale or care for Americans and only seems to worry about their bottom line profits would take a moral stand to not sell something like the morning after pill.  They care about egg cells that may or may not have been fertilized in a mother's womb, but they have shown little to no regard for grown up adult American workers.  Funny, but maybe not ha ha funny.

 

Rachel's picture

I may be wrong, but I

I may be wrong, but I believe every state in the country regulates pharmacies. As long as that's true, they need to abide by the state regulations. The Massachusetts law says to carry all "commonly prescribed medicines"; Massachusetts pharmacies should do just that. Now, if pharmacies want to be unregulated, and just let drugs be sold on the open market (i.e., lose their monopoly on prescription drugs), then I might be more sympathetic to the argument that they should be allowed to sell only what they want. But as long as pharmacies benefit by being the only folks allowed to sell prescription meds, then they have to take the regulation that comes with it. IMO.
CrimsonNape's picture

Forcing Walmart

Walmart has a history of refusing to sell certain products for "moral" reasons whether their logic is consistent or not. Other than ensuring the quality of medications and such, I don't see why the government needs to force a pharmacy to sell a product it wishes not to sell, other than to appease the demands of special interest groups, such as feminists, etc. in this case. The "policy" ""commonly prescribed medicines" is sufficiently vague to probably justify almost any requirement. I wonder how common commonly prescribed is.

 Living in a small town with a SuperWalmart, I don't see any evidence that it is driving other pharmacies out of business. Walmart has no price advantage. Out of pocket costs for prescription medications are generally controlled by insurance and all pharmacies in my town cost me the same for the same medication. Some private pharmacies hurt their own business by shorter business hours than Walmart which is open 9am-7pm M-F, 9am-6pm Sat, closed Sat.  But Kroger Pharmacy is open 9am-9pm M-F, 9-6Sat, 10-5 Sun. Maybe Kroger, the worlds largest grocer, is putting small local pharmacies out of business.

 In the smaller, surrounding towns that are too small for WalMarts, there are also plenty of local pharmacies. I bet many of them, being Christian, conservative types don't carry the morning after pill.

CrimsonNape's picture

Pharmacies

Mettulg - there are two or three privately owned pharmacies. I don't see how the names would mean anything. My point is is that private pharmacies are under pressure from lots of corporations besides Walmart, Kroger, Rite Aid, KMart, etc. In prescription medications, Walmart has no price advantage. Kroger gives better service and is open longer hours.

 The mythical small town that is dominated by Walmart doesn't exist where I live. In the two small towns that have Walmarts in the very rural area where I live, business is thriving on all levels. Sure, some come and some go but the ones that go do so largely due to retirement, poor management, lack of creativity, etc. Local residents now do more shopping locally rather than travel 60 plus miles to the closest metropolitan area and spend there money there.

 Because Walmart keeps more shoppers in town and draws people from neighboring counties, small businesses have done quite well where I live.

Crimsonnape's picture

Standing in the shade

Mason County, Kentucky (home of University of Tennessee standout, Chris Lofton)-

1990 (No Walmart) Population 16,666 ( maybe it's the home of the Devil.)

Per capita income $10,179

Median Household income $21,054

Walmart comes in 1991.

2000 Population 16,800 (not really a  growing community)

Per capita income $16,589

Median Household income $30,195

http://www.census.gov/prod/cen1990/cp2/cp-2-19.pdf

 

http://quickfacts.census.gov/qfd/states/21/21161.html

 

 

 Incomes climb better than 50% per capita and nearly 50% per household. I would guess that outpaces inflation. This isn't the richest place in the country or Kentucky but Walmart's not causing any great damage. Additionally, Walmart has forced other retailers to lower their prices to be competitive. Before, locally retailers charged a premium because residents had to drive 60 miles to find a better deal. Groceries, clothes, tools, virtually everything was more  expensive than what you would pay in a city like Knoxville. It gets old paying $1 more for a gallon of milk than your buddy in the big city.

 What has hurt local businesses as much as anything is the Internet. The local book store closed down. People could get books cheaper and faster over the Internet. The same for music CDs, DVDs and such. Sports and recreation equipment is readily available  and cheaper via Internet and they bring it to your door. And this little burg has free WiFi for a 5 mile radius.

Some store that have opened since Walmart came: Goody's, Applebee's, Bob Evans, Burger King, Taco Bell, GameStop, Dawhares (a very nice regional clothing store), Big Lots, Gold Star Chili, AutoZone, Advance Auto, Best Western, Super 8, Hampton Inn, Tractor Supply (Tennessee conglomerate), a new locally owned hardware store, new locally owned lumber yard, several new locally owned restuarants (including two Chinese restuarants and a Mexican restuarant), new tire store (competes with Walmart tires), a locally owned Sears franchise that sells major appliances, tools and lawn and garden equipment, at least two new furniture stores and more. (You should come visit.)

Walmart is the All-American success story. I actually prefer not to shop there but much of the criticism aimed at it is unwarranted. When Walmart started Sears was the largest retailer in the country. Kmart was well established (there's one of those in Mason County also) as well as many other large retailers. Sam Walton simply outsmarted them all. Now we all love to hate Walmart because it's big, rich and successful.

You can stand under a tree squinting but I'll keep my eyes wide open.

 

Crimsonnape's picture

Before and After

I didn't say Walmart brought about all these changes. But it sure didn't prevent them and it sure did help and it sure isn't doing the harm you seem to think it is. Indeed your post hoc argument could be well applied to those that claim Walmart is killing small towns.
Andy Axel's picture

Not to mention, it has

Not to mention, it has nothing to do with the practice of a pharmacy arbitrarily restricting the sales of drugs commonly and legally prescribed by the state.

Maybe WalMart should just shut down their pharmacies if they feel so strongly about it.

It wouldn't be unprecedented. When California WalMart meatcutters tried to unionize, WM fired those employees, shut down their butcheries, and outsourced the operation instead.

So, if they feel as strongly about contraception as they do about unions, then by all means. Let WalMart stop selling drugs altogether. No one forces them to sell drugs, and if they feel all that strongly about it, they have the choice to stop selling everything that isn't OTC.

____________________________

If we heard mortar shells, we'd cuss more in our songs and cut down on guitar solos

Patrick's picture

Freedom vs Business

I am always confused at how some folks get freedom confused with business.  They aren't the same thing.

Just because you own or operate a business does not mean you are no longer required to obey the laws of the place you operate.  Go try to sell pork barbecue in Ar-Riyadh, Saudi Arabia if you think I'm lyin'.  I'd wager they won't let you.

The Commonwealth of Massachussetts has every right to tell businesses (Wal-Mart and otherwise) how they will and how they will not operate within the state of Massachussetts.  Just like Tennessee has every right to tell businesses how they will and will not operate within the state of Tennessee.  States are allowed to do that.  The people who live in those states choose the folks who write their laws, and those laws determine how businesses can act within that state.  If the people of Massachussetts demand that every pharmacy carry thus and such, then you've got to carry thus and such or you won't be able to open a pharmacy legally in Massachussetts.  That's how representative democracy works, last time I checked.  If Wal-Mart wants to do business with Massachussetts, they have to play by Massachussetts rules, Massachussetts don't have to play by Wal-Mart rules. 

There are exceptions that are trumped by Federal regulation, of course.  That's where the people of the whole US get to have a say through our Representatives in Washington.  If Wal-Mart thinks they have a case in such a way, they can take it to the federal Courts.  I don't think they'll get much traction with this, otherwise you'd see Bank of Americas in the state of Louisiana, pharmacists wouldn't be allowed to dispense with lethal prescriptions in Oregon, and no one would be able to stop CVS from carrying marijuana.

I can see that prescription now,

Crimsonnape's picture

Walmart

I couldn't comment over the weekend because IE on my home computer crashes every time I try. Andy Axel is correct. All this has nothing to do with the question of forcing Walmart to dispense certain medications against their will. I only responded to comments that broadened the discussion to Walmart is destroying mom and pop pharmacies, etc.

 There is a trend that religious rights don't really matter any more. You can practice your religion as long as your beliefs don't leave the church, temple or whatever. Some states force (or want to force)Catholic hospitals to perform abortions, dispense abortifacient drugs, etc. This seems to trample on religious freedom although I'm sure there are those who  can find plenty of reasons why we should force Catholic hospitals, ob-gyns, etc. to perform abortions. One big reason I hear is that since they accept payment from Medicaid, Medicare, etc. they should have perform abortions. A pretty dangerous argument in that it says that if you accept payment from the government you have to do anything they wish even if it wasn't part of the agreement up front. Sounds like organized crime techniques.

Andy Axel's picture

There is a trend that

There is a trend that religious rights don't really matter any more.

This policy doesn't violate your religious rights. It doesn't violate Wal-Mart's religious rights. This is a religion-neutral decision being enforced by MA on a corporation which has a charter with the state of MA.

If you don't want to buy the morning-after pill, don't buy it.

But if I want to buy the morning-after pill, I should expect that any pharmacy that I go to will stock that medication. That's MA state law, and MA has settled that question.

Y'know, if Wal-Mart is such a staunch Christian outfit, why are they open on Sundays?

Do they not value the right of their employees to observe the Sabbath?
____________________________

If we heard mortar shells, we'd cuss more in our songs and cut down on guitar solos

Crimsonnape's picture

Religion

So now we're going to define religion by what standards? Andy Axel's I suppose. If you work on Sunday you're not Christian, if you work on Saturday you can't be Jewish or Seventh Day Adventist or whatever other criteria we can pull out of the air. In one breath religions will be criticized for using antiquated values, in the next breath if someone can't be Christian because they don't meet the antiquated values. Why should I have to be Christian or whatever to have religious beliefs that abortion is wrong? Hinduism teaches that abortion is a great crime and one of the worst sins.

Funny how this "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof;" has come to be interpretted so broadly in preventing the "free exercise." Religion doesn't begin and stop at the church door. This whole thing in MA is about three women ramming their values down others throats which is quite acceptable to many unless it is fundamentalist Christians or Catholics going the other way. I doubt seriously that having 48 pharmacies in MA not providing the morning after pill was an inconvenience to anyone, not that that matters either. Funny how some who (and I'm not saying you, Andy, because I don't know) oppose executing someone who purposely takes the life of another want to force people who believe abortion is killing a living person to participate in the abortion process.

 Maybe these attitudes are why Massachusetts is one of the worst 5 states for small businesses.

Andy Axel's picture

If you work on Sunday you're

If you work on Sunday you're not Christian, if you work on Saturday you can't be Jewish or Seventh Day Adventist or whatever other criteria we can pull out of the air. In one breath religions will be criticized for using antiquated values, in the next breath if someone can't be Christian because they don't meet the antiquated values.

What do you think WalMart would tell a cashier who said that s/he didn't want to work Sundays because of religious values?

I can almost guarantee you that WalMart would fire that individual.

So it just shows you where their values lie. At least a store like Hobby Lobby practices what they preach -- and they're closed on Sundays so that their workers can have a day off with their families, ostensibly for religious purposes.

I mean, if WalMart is so Christian, what do they make of the 4th Commandment? Or is it just bullshit to WalMart?

C'mon. What standards is WalMart trying to enforce? If it's Christian religious sentiment, then I would say that the case is pretty strong that they should abandon business hours on the traditional Christian sabbath. I mean, if they want to be consistent, that is.

Or were they not interested in enforcing Christian testament when they spoke out against the morning after pill?

WalMart's 1st commandment: "Do as I say, not as I do."

____________________________

If we heard mortar shells, we'd cuss more in our songs and cut down on guitar solos

Crimsonnape's picture

It's a religious freedom issue - not just Walmart

In United States v. Ballard, Justice Douglas, writing for the majority, embraced a much broader definition of religion:

Freedom of religious belief, is basic in a society of free men. It embraces the right to maintain theories of life and of death and the hereafter which are rank heresy to followers of orthodox faiths . . . . Men may believe what they cannot prove. They may not be put to the proof of their religious doctrines of beliefs. Religious experiences which are as real as life to some may be incomprehensible to others. Yet the fact they may be beyond the ken of mortals does not mean that they can be made suspect before the law.

 

In 1965, the Supreme Court interpreted this definition, in United States v. Seeger, to allow conscientious objector status to persons bound by a perceived duty to realities superior to man, but not affiliated with any orthodox religion.

source

It's not just about Walmart, what about the small mom and pop pharmacy where the owners might be devout Catholics (there's lots of Catholics in Massachusetts)? The military allows conscientious objector status. Why not the pharmacy board? Are we going to effectively outlaw certain demoninations from certain jobs? Interesting that the liberals are more authoritarian on this than the military. It must be important to kill unborn fetuses than the enemies of our country.

Anonymous's picture

What he said.

What he said. And: (link...)
Andy Axel's picture

It is intolerant to not

It is intolerant to not tolerate intolerance?

I'm still trying to reckon out the finer distinctions around the term "unborn fetuses."

____________________________

If we heard mortar shells, we'd cuss more in our songs and cut down on guitar solos

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